Re-Engagement Specialist

Summary:

Assists staff with all aspects of re-engagement and outreach to members without contact within CODAC and funder database system. Outreach staff demonstrate excellent motivational, clinical and customer service skills. 

Essential Duties and Responsibilities:

The position is responsible, but not exclusive, for the following:

• Maintains relationship with payors to ensure data accuracy for closure process.
• Maintains internal closure log for all sites to ensure a successful closure process.
• Tracks requested, follow up attempts and receipt of medical information from Primary Care Physicians.
• Prepares, tracks, and maintains reports to provide pertinent data, using indicated documentation
• Verifies data report accuracy and integrity and upholds confidentiality of protected health care information.
• Assists in reconnecting members with services who have not had outreach for an extended period of time.
• Complete and updates appropriate clinical documentation to ensure an updated record.
• Coordinates with IS on design, development, and execution of complex queries to pull data from CODAC systems. Schedules and links members to appropriate appointments and future services within the organization.
• Coordinate project‐based work.
• Communicates with stakeholders, members, and participants, staff, and the public in a manner that reflects positively on the agency.
• Works with all levels of internal staff to address system discrepancies.
• Assists in all aspects of roster reconciliation for members pending closure.
• Returns all inquiry calls within 24 hours excluding weekends and holidays.
• Performs other related duties in accordance with agency growth and changes.
• Ability to assess and resolve complex aspects of members.
• Ability to evaluate facts or situations to determine appropriate action.
• Ability to follow written and oral instructions, and to communicate effectively both orally and in writing.
• Ability to establish and maintain effective working relationships with staff, providers, members, funding sources and other agencies.
• Ability to maintain confidentiality and comply with HIPAA standards.
• Familiarity with various diverse ethnic and cultural groups.

Skills & Requirements

Education:

• Masters or Bachelor’s degree in a non-healthcare related field and 6 months relevant related experience OR;
• Associates degree in a healthcare field and 6 months related experience OR;
• Associate’s degree in a non-healthcare field and 1-year related experience OR;
• Certified Medical Assistant and 1 year related experience OR;
• Certified Peer Support Specialist and 2 year years related experience OR;
• High School diploma or General Education Equivalent (GED and 4 years related experience).

Certifications:

• Commission Certified Care Manager (CCCM), a plus.

Additional Requirements:

• Valid Arizona Driver’s license, proof of current insurance and willingness to use personal vehicle. Driver’s license is an essential requirement for performing duties for this position.
• Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in past 3 years.
• Interest and commitment to helping members in crisis from varied social‐economic backgrounds

Skills:

• Bilingual skills a plus.
• Knowledge of principles and processes for providing excellent customer service.
• Understanding of Intake and Financial Eligibility paperwork, and Arizona Department of Behavioral Health and payor/ Intake policies and procedures.
• Familiarity with a variety of computer software used for researching, tracking, data entry/processing, and reporting information, i.e. AHCCCS, Excel, Word, and various statistical or graphics programs.
• Diagnosis or clinical documentation knowledge
• Knowledge of medical records standards and current statutes pertaining to member medical records.
• Knowledge of benefits eligibility standards and processes.
• Knowledge of administrative/clerical procedures and office equipment.
• Ability to assess and resolve complex aspects of members.
• Ability to evaluate facts or situations to determine appropriate action.
• Ability to follow written and oral instructions, and to communicate effectively both orally and in writing.
• Ability to establish and maintain effective working relationships with staff, providers, members, funding sources and other agencies.
• Ability to maintain confidentiality and comply with HIPAA standards.
• Familiarity with various diverse ethnic and cultural groups.
• Must be able to work 12-hour shifts, evening, nights & weekends

Pay Information:

• Minimum - $18.31 to $35.79 per hour
• Pay rate based on level of education, AZBBHE License and/or years of work experience relevant to this position.

"Equal Opportunity Employer Minorities/Women/Veterans/Disabled"